(1 point). Listen.
A patient has orthostatic hypotension.
Which activity will require close observation by the nurse? When the patient:.
Sleeps.
Exercises.
Sits down.
Stands up.
The Correct Answer is B
Choice A rationale:
Sleeping is not a significant factor in orthostatic hypotension. When a patient is sleeping, they are typically lying down, and orthostatic hypotension is related to changes in posture, not during sleep.
Choice B rationale:
Exercising can exacerbate orthostatic hypotension because it increases the demand on the cardiovascular system. When a patient exercises, their heart rate and blood pressure can increase significantly. In the case of orthostatic hypotension, there's a risk of a more pronounced drop in blood pressure when transitioning to an upright position after exercise. Therefore, exercising requires close observation in these patients.
Choice C rationale:
Sitting down is a relatively stable position, and orthostatic hypotension primarily involves changes from a sitting or lying position to a standing position. Sitting down doesn't typically worsen orthostatic hypotension.
Choice D rationale:
Standing up is a crucial moment when dealing with orthostatic hypotension. When a patient with orthostatic hypotension stands up, there is a risk of a significant drop in blood pressure, which can lead to symptoms like dizziness or fainting. This is why standing up requires close observation. Now, let's move on to the next question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Unstable plaque in the coronary arteries is a major risk factor for myocardial infarction (MI), also known as a heart attack. When the plaque ruptures or becomes unstable, it can lead to the formation of a blood clot, which can obstruct the blood flow to the heart muscle, causing myocardial infarction. The nurse should monitor for signs and symptoms of MI in this patient, such as chest pain, shortness of breath, and ECG changes, to provide prompt intervention and prevent further cardiac damage.
Choice B rationale:
Stable angina is not the most immediate complication associated with unstable plaque in the coronary arteries. While stable angina is related to reduced blood flow to the heart, it is typically triggered by exertion or stress and relieved with rest or medication. Unstable plaque is more likely to lead to myocardial infarction, which is a more critical condition.
Choice C rationale:
Eupnea refers to normal, unlabored breathing and is not a complication associated with unstable plaque in the coronary arteries. It is essential to monitor the patient for cardiac-related complications, such as myocardial infarction, which can be life-threatening.
Choice D rationale:
Orthostatic hypotension, a drop in blood pressure upon standing, is not a typical complication of unstable plaque in the coronary arteries. The primary concern with unstable plaque is the risk of myocardial infarction, as it can lead to acute and severe cardiac damage.
Correct Answer is A
Explanation
Choice A rationale:
Mitral valve prolapse is an autosomal dominant condition. If a patient's history indicates that cardiac valve disease is autosomal dominant, the nurse is likely to find a diagnosis of mitral valve prolapse in the patient's chart. Mitral valve prolapse is a condition where the mitral valve doesn't close properly, allowing blood to flow back into the left atrium.
Choice B rationale:
Pulmonary stenosis is not typically associated with autosomal dominant inheritance. It's more commonly associated with sporadic genetic mutations or other non-genetic factors.
Choice C rationale:
Tricuspid regurgitation is not usually an autosomal dominant condition. Like pulmonary stenosis, it's often caused by other factors rather than being directly related to genetic inheritance.
Choice D rationale:
Aortic stenosis is not typically an autosomal dominant condition. It's more commonly related to age-related degeneration or other non-genetic factors.
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